81465 prior authorization | Blue Cross and Blue Shield of Montana

81465, Whole Mitochondrial Genome Large Deletion Analysis Panel (Eg Kearns-Sayre Syndrome Chronic Progressive External Ophthalmoplegia) Including Heteroplasmy Detection If Performed, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81465
Description: Whole Mitochondrial Genome Large Deletion Analysis Panel (Eg Kearns-Sayre Syndrome Chronic Progressive External Ophthalmoplegia) Including Heteroplasmy Detection If Performed
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 151 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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